Healthcare Professional Interviews: Data Disclosures in Communications About Prescription Drugs

Data to Support Drug Product Communications

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0695 can be found here:

Documents and Forms

Document Name Document Type
Appendix A-Email_Screener_Invitation Oncologists.docx Other-Email, Screener, and Invitatio
Appendix B-Email_Screener_Invitation PCPs.docx Other-Email, Screener, and Invitatio
Appendix C - Confirmation Email Letter.docx Other-Confirmation email
Appendix D - Informed Consent.docx Other-Informed Consents
Appendix E - Reminder Email.docx Other-Reminder email
Appendix F - Remote Interview Guide.docx Other-Interview Guide
0695 OMB Approval Memo-Data Disclosures 2019.docx OMB Approval Memo IC Document

Information Collection (IC) Details

IC Title:	Healthcare Professional Interviews: Data Disclosures in Communications About Prescription Drugs	Agency IC Tracking Number:	CDER

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Email, Screener, and Invitation for Oncologists	Appendix A-Email_Screener_Invitation Oncologists.docx	Yes	Yes	Fillable Fileable
Other-Email, Screener, and Invitation for PCPs	Appendix B-Email_Screener_Invitation PCPs.docx	Yes	Yes	Fillable Fileable
Other-Confirmation email	Appendix C - Confirmation Email Letter.docx	Yes	Yes	Printable Only
Other-Informed Consents	Appendix D - Informed Consent.docx	Yes	Yes	Fillable Fileable
Other-Reminder email	Appendix E - Reminder Email.docx	Yes	Yes	Printable Only
Other-Interview Guide	Appendix F - Remote Interview Guide.docx	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 140	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	140	140
Annual IC Time Burden (Hours)	87	87
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Approval Memo	0695 OMB Approval Memo-Data Disclosures 2019.docx	10/23/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.